| NPI | 1417243676 |
|---|---|
| Former Name | SARA BETH WILCOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 53156) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD19780) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2024-06-05 |